Water polo at the Pan American Games
Men’s Tournament
| Team | Winners |
| United States | 13 |
| Argentina | 2 |
| Brazil | 1 |
| Cuba | 1 |
| Mexico | 1 |
| Year | Host | Gold | Score | Silver | Bronze |
|---|---|---|---|---|---|
| 1951 | Buenos Aires, Argentina | Argentina | Brazil | United States | |
| 1955 | Mexico City, Mexico | Argentina | United States | Brazil | |
| 1959 | Chicago, United States | United States | Argentina | Brazil | |
| 1963 | São Paulo, Brazil | Brazil | United States | Argentina | |
| 1967 | Winnipeg, Canada | United States | Brazil | Mexico | |
| 1971 | Cali, Colombia | United States | Cuba | Mexico | |
| 1975 | Mexico City, Mexico | Mexico | United States | Cuba | |
| 1979 | San Juan, Puerto Rico | United States | Cuba | Canada | |
| 1983 | Caracas, Venezuela | United States | Cuba | Canada | |
| 1987 | Indianapolis, United States | United States | Cuba | Brazil | |
| 1991 | Havana, Cuba | Cuba | United States | Brazil | |
| 1995 | Mar del Plata, Argentina | United States | Brazil | Cuba | |
| 1999 | Winnipeg, Canada | United States | Cuba | Canada | |
| 2003 | Santo Domingo, Dominican Republic | United States | Brazil | Canada | |
| 2007 | Rio de Janeiro, Brazil | United States | Brazil | Canada | |
| 2011 | Guadalajara, Mexico | United States | Canada | Brazil | |
| 2015 | Toronto, Canada | United States | Brazil | Canada | |
| 2019 | Lima, Peru | United States Dejan Udovičić | 18-6 | Canada | Brazil |
| 2023 |
Women’s Tournament
| Team | Winners |
| United States | 5 |
| Canada | 1 |
| Year | Host | Gold | Score | Silver | Bronze |
|---|---|---|---|---|---|
| 1999 | Winnipeg, Canada | Canada | United States | Brazil | |
| 2003 | Santo Domingo, Dominican Republic | United States | Canada | Brazil | |
| 2007 | Rio de Janeiro, Brazil | United States | Canada | Cuba | |
| 2011 | Guadalajara, Mexico | United States Adam Krikorian | Canada | Brazil | |
| 2015 | Toronto, Canada | United States Adam Krikorian | Canada | Brazil | |
| 2019 | Lima, Peru | United States Adam Krikorian | 24-4 | Canada | Brazil |
| 2023 |